Clinic
Provisional Health and Rehabilitative Services LLC
Provisional Health and Rehabilitative Services LLC was paid $669K by Medicaid between Oct 2022 and Dec 2024, across 2 billing codes. Its largest line is H2017, psychosocial rehabilitation, billed per 15 minutes — 98% of everything it billed.
33Billing provider infoPROVISIONAL HEALTH AND REHABILITATIVE SERVICES LLC
EDEN PRAIRIE, MN 55346
EDEN PRAIRIE, MN 55346
33aNPI1841966116assigned 08/18/2021
33bProvider typeClinic/Center
28Total paid$669K
24GClaims3,999
24DCodes billed2
24AFirst – last monthOct 2022 – Dec 2024
Compared with peers
Next to other Clinic/Center providers in Minnesota
Rank by total paid#90 of 250
Median peer was paid$274K
This provider vs. median2.4×
Peers share this provider's primary NPPES type and state. Size alone says nothing about billing quality: a big agency or a hospital system is expected to sit far above the median.
Box 24A · Dates of service
Paid by month
Paid that monthNov–Dec 2024: claims still arriving when the file was cut, so these months run low for every provider
By year, as a table
| Year | Claims | Paid | |
|---|---|---|---|
| 2022 | 330 | $56K | |
| 2023 | 2,224 | $378K | |
| 2024incomplete | 1,445 | $235K |
Box 24 · Service lines
What it billed for
| Code | Service | Share | Claims | Bene. records | Paid |
|---|---|---|---|---|---|
| H2017 | Psychosocial rehabilitation, billed per 15 minutesPsychosocial rehabilitation services, per 15 minutes | 98% | 3,829 | 491 | $657K |
| H0034 | Medication training and support, per 15 minutes | 1.8% | 170 | 100 | $12K |
Claims and beneficiary counts add up across code × month rows, so one patient seen every month counts many times. Rows with fewer than 12 claims are suppressed by HHS, so small lines can be missing.
From NPPES
Who's on the registration
Authorized officialJAMA, ALI (OWNER)